| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
3,405 |
2,941 |
$338K |
| K0738 |
Portable gas oxygen system |
1,525 |
1,309 |
$52K |
| E0601 |
Cont airway pressure device |
420 |
416 |
$24K |
| E0562 |
Humidifier heated used w pap |
447 |
443 |
$9K |
| A7030 |
Cpap full face mask |
69 |
69 |
$6K |
| K0001 |
Standard wheelchair |
67 |
60 |
$3K |
| E0570 |
Nebulizer with compression |
29 |
29 |
$2K |
| A7035 |
Pos airway press headgear |
62 |
62 |
$1K |
| T4541 |
Large disposable underpad |
12 |
12 |
$642.18 |
| A7038 |
Pos airway pressure filter |
138 |
137 |
$480.43 |
| E1392 |
Portable oxygen concentrator |
50 |
49 |
$403.47 |
| A7037 |
Pos airway pressure tubing |
15 |
15 |
$378.54 |
| A7005 |
Nondisposable nebulizer set |
13 |
13 |
$276.99 |